Washington Durable Power of Attorney
This Durable Power of Attorney is made in accordance with the Washington Uniform Power of Attorney Act (Chapter 11.125 RCW) and grants the designated Agent the authority to act on behalf of the Principal concerning matters specified within this document.
Principal Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, Zip: _____________________________
- Phone Number: _______________________________
- Email Address: _______________________________
Agent Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, Zip: _____________________________
- Phone Number: _______________________________
- Email Address: _______________________________
Alternate Agent Information (Optional):
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, Zip: _____________________________
- Phone Number: _______________________________
- Email Address: _______________________________
Authority Granted
This document grants the Agent the authority to act on the Principal's behalf in the following areas:
- Real estate transactions
- Banking transactions
- Investment management
- Tax matters
- Legal disputes and proceedings
- Government benefits
- Retirement plan transactions
- Insurance matters
- Estate, trust, and other beneficiary transactions
- Personal and family maintenance
- Gifts, subject to the limitations prescribed by the Washington Uniform Power of Attorney Act
Effective Date and Duration
This Durable Power of Attorney shall become effective immediately upon execution and shall remain in effect indefinitely unless a specific termination date is set forth below:
Termination Date (if applicable): _________________________
Signatures
By signing below, the Principal and the Agent (including any Alternate Agent) agree to the terms set forth in this Washington Durable Power of Attorney.
Principal's Signature: _______________________________ Date: ___________
Agent's Signature: _______________________________ Date: ___________
Alternate Agent's Signature (if applicable): _______________________________ Date: ___________
Witness's Signature (optional): _______________________________ Date: ___________
This document was executed in the presence of a witness (if applicable) and notarized as required by the state law.
Notary Public: __________________________________
State of Washington
County of ___________________
Subscribed and sworn before me this ____ day of ______________, 20__.
____________________________________ Notary Public
My Commission Expires: ____________